Provider Reimburse Administrator id-360

Job Description

Elevance Health is seeking an experienced and organized Provider Reimbursement Administrator to join our dynamic team. Our ideal candidate is a highly motivated and detail-oriented individual who is passionate about delivering exceptional customer service and delivering accurate reimbursement to our providers.

The Provider Reimbursement Administrator will be responsible for processing and accurately managing provider claims, ensuring timely payments, and performing provider audits.The successful applicant will possess a comprehensive understanding of provider reimbursement policies and procedures, experience with medical billing, and have excellent organizational, communication, and problem-solving skills.

They must be highly adept at working both independently and as part of a team and be able to work in a fast-paced environment. If you are an experienced provider reimbursement administrator who is looking to join a fast-growing healthcare organization, we would love to hear from you.

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Responsibilities:

  1. Process and accurately manage provider claims in accordance with reimbursement policies and procedures
  2. Ensure timely and accurate payments to providers
  3. Perform provider audits to ensure compliance with reimbursement policies and procedures
  4. Monitor provider activity to ensure accuracy and integrity of payments
  5. Maintain up-to-date knowledge of provider reimbursement policies and procedures
  6. Provide excellent customer service to providers
  7. Analyze and resolve reimbursement-related issues in a timely manner
  8. Develop and implement strategies to improve provider reimbursement process
  9. Collaborate with other departments to ensure efficient and accurate reimbursement
  10. Monitor and report on provider reimbursement trends
  11. Stay up-to-date on changes to healthcare regulations and laws

Job Qualifications

  • Proficiency In Microsoft Office Suite
  • Strong Organizational Skills
  • Financial Analysis
  • Excellent Written And Verbal Communication
  • Knowledge Of Reimbursement Systems
  • Healthcare Regulations
  • Billing And Coding
  • Experience With Patient Accounts Management
  • Experience With Data Entry And Reporting

Required Skills

  • Accounts Receivable
  • Documentation
  • Data Entry
  • Data Analysis
  • Problem Solving
  • Negotiation
  • Auditing
  • customer service
  • Coding
  • Compliance
  • Billing
  • Claims
  • Medical Records
  • Regulatory
  • Reimbursement

Soft Skills

  • Communication
  • Conflict Resolution
  • Leadership
  • Time management
  • Interpersonal Skills
  • Organizational skills
  • Creative Thinking
  • Teamwork
  • Adaptability
  • Problem-Solving
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